Individual
GAYLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1229 C AVE E, OSKALOOSA, IA 52577-4246
(641) 672-3100
Mailing address
PO BOX 504, MONTEZUMA, IA 50171-0504
(641) 891-5054
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A156212
IA
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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